Hello fellow AVM’ers! Anyone on here good at translating medical talk into plain English? We’ve decided to treat it with embolization and resection surgery (craniotomy) a day or two later. The plan is to get me in asap, early December. Unruptured but increased seizures, memory, visual and language deficits, balance, etc. And based on the findings (below), an incidental carotid anyeursm
Findings: There is a left posterior temporal brain AVM. The AVM nidus measures approximately 2 cm in diameter. The AVM is supplied by posterior temporal branches of the mildly enlarged left posterior cerebral artery. There is also recruitment from posterior temporal and angular branches of the left middle cerebral artery. There is no
dural supply. The AVM is drained by an enlarged superficial collector which bifurcates and drains posteriorly into the left transverse sinus and anteriorly via an enlarged superficial cortical vein which drains via the cavernous sinus. Dural sinuses are widely patent. Draining veins are widely patent apart from possible narrowing of the draining vein as it enters the left transverse sinus. No nidal or perinidal aneurysms are seen and there is no evidence of an aneurysm along the AVM feeding arteries. There is an
incidental 3 mm aneurysm arising from the proximal left cavernous segment of the internal carotid artery, within the cavernous sinus. No other cerebral aneurysms. Dural sinuses are widely patent. Neck vessels are widely patent.
Conclusion: Spetzler-Martin Grade II left posterior temporal brain AVM.
Incidental 3 mm proximal left cavernous internal carotid artery aneurysm.